Ohio Medical Director's Association Membership Application
Dear Potential Member:

We welcome the opportunity to introduce you to The Ohio Medical Directors Association. We are a professional organization of quality doctors willing to make a difference in how long-term care is provided in our state. At the present time 75 of our members have received advanced certification, in Medical Direction which is recognized by the American Medical Directors Association. We would like you to join us and help improve the awareness in the community of Long-Term Care, the role of Medical Director, and be part of an organization dedicated to improving quality of care in the State of Ohio.


OMDA membership benefits include:

· Maintaining ongoing communication with state agencies such as the Ohio Department of Health, Nursing home associations, and medical nursing and pharmaceutical professional organizations to intercede on the behalf of OMDA membership.

· Providing a link to our national organization, AMDA, which is a primary resource for education, Government policy changes, and national certifications as Medical Directors in long-term care, hospice and home health.

· Providing an opportunity to network amongst peers

· Presenting educational seminars which address subjects of importance to long-term care facilities


Again, thank you for your consideration of membership and support of the Ohio Medical Directors Association. If we can be of service to you, or if there is anything that we can do to help make your membership more worthwhile, Contact us via email or you may reach us on our website at www.ohioamda.org.

Sincerely,

Matthew Wayne, MD, CMD

President of Ohio Medical Director’s Association

CUT HERE - FILL OUT APPLICATION - ENCLOSE CHECK

_______________________________________________

(Membership annual fee is $50.00 ) -

APPLICATION FOR MEMBERSHIP (2008):

NAME:___________________________________

Professional Discipline______________________

Address, _________________________________

City, _____________State, ________ Zip ________

Telephone (_____________) Fax ( ______________)

E-mail address ______________________________

Would you like to receive future updates at this address? Yes / No (Please circle one above)
Academic or Facility Affiliation ________________________

Mail to

Barbara Messinger-Rapport, MD
Desk A91, Geriatric Medicine
Cleveland Clinic
9500 Euclid Ave.
Cleveland, OH 44195

Email: togetherwe.makeadifference@gmail.com